Colostomy receptor



Jan. 4, 1949A SMOQT 2,458,308

coLoswomY RECEPTOR Filed Sept. 4', 194a Patented Jan. 4, 1949 UNITEDSTATES PATENT OFFICE COLOSTOMY RECEPTOR Roy W. Smoot, Springfield, OhioApplication September 4, 1946, Serial No. 694,701

1 Claim. 1

This invention pertains to surgical appliances, and more particularly toa colostomy receptor.

Colostomy operations are performed to provide a fecal fistula, affordingmeans of artificial communication between the colon or large intestineand the exterior of the body through which the current of fecal mattermay be discharged outwardly into space, rather than permitted to followits normal course downwardly through the lower portion of the bowel.

Such operations are most frequently indicated in cases of destructivediseases, such as carcinoma and sarcoma, whereby the normal functions ofthe rectum and anus are permanently impaired.

Such fecal fistulas are usually formed by an incision over the cecum, asfor an appendicostomy, or elsewhere in the abdominal wall, preferably inthe left inguinal region and suturing the peritoneal edge of the woundto the lar e bowel and uniting the cut edge of the latter to the fasciaor to the skin. By suturing the bowel to the skin, a permanentmucocutaneous fistula is likely to be developed. In such cases, however,the patient loses all control of the bowel action, and more or lessseepage is likely to occur.

Heretofore such patients have been compelled to wear constantly acolostomy pouch or rubber bag strapped over the fistula or artificialopening by means of a waist band or belt. Such devices are highlyobjectionable. They not only cause much irritation and chafing, but arequite unsanitary and malodorous, which objectionable features are almostunsurmountable.

More recent medical practice has been to recommend daily irrigation ofthe bowel by a douche or enema, introducing through the fistulaapproximately a quart of water or other liquid. This is subsequentlyexpelled through the fistula accompanied by the fecal content of thebowel. This treatment obviates the uncontrolled tendency of the bowel topartially evacuate at frequent intervals. Upon removal of the enema ordouche tube from the patient lacking bowel control, the water and fecesmay be expelled under pressure with great velocity in an undirectedstream, with more or less disastrous results.

To provide directive control of such discharge is a dominant purpose ofthe instant invention.

The object of the invention is to improve the construction as well asthe means and operation of colostomy appliances or receptors, wherebythey may not only be economically manufactured, but will be moreefficient in use, safe, sanitary, non-irritating, and having minimumirregular 2 surfaces or obstructions to interfere with free flow offecal matter.

A further and important object of the invention is to provide atemporary appliance and thus obviate the necessity for constant wearingof the customary colostomy pouch, with its numerous objectionablefeatures.

A further object of the invention is to facilitate control and disposalof the discharged matter.

A further object of the invention is to provide an appliance for thepurpose designated which will be light in weight and conveniently shapedfor handling and use.

A further object of the invention is to provide a discharge device foran artificial fecal fistula of the human body, which the patient mayconveniently use either standing, sitting, or lying down.

A further object of the invention is to provide a discharge device whichwill equally well accommodate a passive and weak discharge, or an activeand forceful expulsion of fecal matter.

A further object-of the invention is to provide a surgical appliancehaving the advantageous structural features. the inherent meritoriouscharacteristics, and the mode of use herein set forth, or theirequivalents.

With the above primary and other incidental objects in View as will morefully appear in the specification, the invention intended to beprotected by Letters Patent consists of the features of construction,the parts and combinations thereof, and the mode of operation, ashereinafter described or illustrated in the accompanying drawings, ortheir equivalents.

In the drawings, wherein is shown the preferred but obviously notnecessarily the only form of embodiment of the invention,

Fig. l is a front view of a portion of a human body illustrating theregion to which a colostomy receptor embodying the present invention isapplied.

Fig. 2 is a detail side view of the receptor.

Fig. 3 is a perspective view thereof, showing the inlet or applicatorside thereof.

Like parts are indicated by similar characters of reference throughoutthe several views.

The instant appliance is of relatively small size and light weight. Itis ordinarily of approximately ten inches in length, and is molded frominitially plastic or synthetic resinous materials, aluminum, glass orother material capable of being thoroughly sterilized.

It comprises an elongated rigid tube l, to which may be attached acontinuing flexible hose or conduit 2 through which the expelled fecalmatter may be discharged into a commode or toilet. Surmounting the upperend of the tube l is an integral bulbous head 3 of a generally truncatedspherical form, having in one side thereof an enlarged opening 4, themargins of which are rounded or beaded and smooth to .preventirritation. The tube l extends at a slight angle torthe plane of theopen face 4. The interior, surfaces of the tube I and head 3 are uniformand smooth throughout, having no offsets, shoulders or obstructionswhich might interfere with free flow of the discharge. To such end, thesurfaces merge one with another upon curves of rather long radii.

In use the appliance or receptor is manually held over the fecalfistula, with the smooth beaded margin of the opening 4 in tight contactwith the surface of the body thereabout. It is found that after havingtaken an enema or douche for irrigation of the bowel, the patient canordinarily hold the water charge for a sufiicient period to enable theinstant appliance to be grasped and adjustedrto proper position, whereit is then held.

Not being necessary to be worn beneath the clothing;this appliance ismuch more convenient, with less irritation or chafingoi-thebody, yetmuch better serves the purpose of the customary colostomy pouch. If sodesired, the device may be temporarily supported by a belt, bandage orsling iristead'of being manually held.

From the above description it will be apparent that there is thusprovided a device of the character described possessing the particularfeatures of advantage before enumerated as desirable, but whichobviously is susceptible of modification in itsform, proportions, detailconstruction and arrangement of parts Without departing from the 4 pprinciple involved or sacrificing any of its ad vantages.

While in order to comply with the statute the invention has beendescribed in language more or less specific as to structural features,it is to be understood that the invention is not limited to the specificfeatures shown, but that the means and construction herein disclosedcomprise the preferred form of severalmodes of putting the inventioninto efiect, and the invention is therefore claimed in any of itsf'ormsor modifications within the legitimate and valid scope of the appendedclaim.

Having thus described my invention, I claim:

A colostomy receptor, comprising a rigid one piece tubular elementformed with an elongated stem providing, a handle portion and a means ofattachment of a flexible conduit thereto, and further formed with abulbous head of substantially truncated spherical shape, said stemextending from; said headv at an inclination to the open face of thehead and coincident with the lower marginof said open face.

ROY w. SMOOT.

REFERENCES CITED The following references are of record in: the file ofthispatent:

UNITED STATES PATENTS Number I Name Date 2,314,124 Marson Mar. 23, 19432,331,226 Pritchard Oct. 5, 1943 FOREIGN PATENTS Number Country Date5,449 Great Britain July 24, 1906 381,912 Great Britain Oct. 13, 1932

